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What Are Inverted Nipples?

February 25, 2026

Inverted nipples are a common anatomical variation in which the nipples do not project or are retracted beneath the skin rather than projecting outward. Congenital nipple inversion is observed in up to 10 percent of the population, making it one of the most common nipple variations among women. 

While inverted nipples are usually harmless and don’t pose any medical risk, many individuals choose to explore treatment for cosmetic reasons or to restore confidence in their appearance. When considering treatment, patients’ expectations regarding appearance and self-esteem are important factors to address to ensure satisfaction with the outcome. 

This blog will explain what causes this condition, who may benefit from correction, how the treatment works and what to expect during recovery.

Table of Contents

• What Causes Inverted Nipples?
• Are Inverted Nipples a Health Concern?
• How Is Inverted Nipple Correction Performed?
• Who Is a Good Candidate for Treatment?
• What Is Recovery Like?

What Causes Inverted Nipples?

Inverted nipples

Some people are born with inverted nipples, a result of shortened breast ducts and connective tissue tethering the nipple inward. In most situations, the inversion is bilateral (on both sides). Typically, it is noted at the time of puberty. Other nipples may lie flat or be temporarily protruded with stimulation. 

While projecting outward from the surface of the areola is the typical orientation, inversion is a common variation. The sudden appearance of inversion in one breast, especially well after puberty (30s and older), should prompt a medical evaluation.

Other people develop inverted nipples later in life due to factors such as:

• Breastfeeding, which can stretch or damage the ducts and may cause inversion if the ducts scar during the process
• Scarring or scar tissue from surgery or trauma
• Aging, which may change the skin and the underlying breast structure
• Breast infections such as mastitis or duct ectasia
• Breast cancer
• Previous breast surgery or radiation
• Paget’s disease of the nipple

Bloody discharge from the nipple can be a sign of underlying pathology, especially in the context of breast cancer or Paget’s disease. Inverted nipples can be completely asymptomatic until breastfeeding is attempted. 

Inverted nipples can be classified by grades: Grade 1 (shy nipples) can come out with stimulation, while Grade 2 (moderate degree of fibrosis) can be pulled out but retract quickly. In Grade 3, the most severe, the nipples can’t be brought out at all and remain retracted.

Changes in nipple appearance, such as inversion, should be assessed by a doctor immediately. Breast cancer can cause nipple retraction due to infiltration of malignant cells in the lactiferous ducts.

Are Inverted Nipples a Health Concern?

In most cases, inverted nipples are completely benign and don’t require treatment unless they cause functional or emotional concerns. Some people with inverted nipples may experience:

• Difficulty breastfeeding due to poor latching
• Hygiene challenges, especially if the area traps moisture
• Self-consciousness or dissatisfaction with breast appearance

Inverted nipples can have a significant psychological impact for obvious reasons. Feelings of self-consciousness and anxiety are common, particularly during adolescence and early adulthood. Children with inverted nipples may experience bullying or social anxiety due to their appearance, and the psychological effects can extend into adulthood, impacting intimacy and relationships. Proper patient counseling regarding inverted nipples is essential to help individuals make informed choices about their management.

When the health issues of inverted nipples impact quality of life, corrective surgery can provide a simple and long-lasting solution.

How Is Inverted Nipple Correction Performed?

Inverted nipple correction is a minimally invasive surgical procedure that releases the tissue tethering the nipple inward. Surgical procedures are primarily indicated for Grades 2 and 3 inverted nipples, especially when conservative methods fail. 

Key Steps in Treatment

1. Local anesthesia typically used, making the procedure quick and comfortable
2. Small incision is made at the base of the nipple, with careful technique to minimize scar tissue
3. Bands or ducts pulling the nipple inward carefully released
4. Nipple supported in a new outward position using sutures

Dr. Turkeltaub uses precision techniques to ensure natural-looking results with minimal visible scarring. The procedure can be performed on its own or in combination with other cosmetic breast procedures like a breast augmentation, breast lift or breast reduction.

Who Is a Good Candidate for Treatment?

You may be a candidate for inverted nipple correction if:

• One or both of your nipples appear inverted or flat.
• The inversion is causing emotional distress or self-consciousness.
• You are in good overall health and have realistic expectations.
• You prefer a permanent solution instead of suction-based devices or other temporary methods.
• You have discussed your lactation goals with your healthcare provider.

What Is Recovery Like?

Recovery from inverted nipple surgery is typically quick and low-maintenance. Most patients can return to regular daily activities within a day or two, although certain restrictions will apply to ensure optimal healing.

• Mild swelling or sensitivity is normal for a few days.
• Sutures securing the nipples in their new position are removed at two weeks.
• You are to avoid direct pressure on the nipples for eight weeks.
• Strenuous exercise or chest workouts should be postponed for several weeks.

It is important to follow all postoperative instructions and attend follow-up appointments to help ensure the best possible outcome. Applying ice or cool packs to the nipples in the postoperative period must be avoided and can be very dangerous to the tissues.

Results are immediate, and essentially all patients are thrilled with the outcome. Inverted nipples are corrected with lasting results, significantly improving confidence and body image. When performed properly and postoperative guidelines are meticulously followed, it is very rare to have a recurrence of the inversion.

Dr. Turkeltaub: Inverted Nipple Correction in Scottsdale, AZ

With the right approach, inverted nipple correction can be a subtle but powerful improvement, not just for your appearance but also for your confidence. Start your journey by consulting Dr. Steven H. Turkeltaub, who is certified by the American Board of Plastic Surgery and specializes in cosmetic breast surgery.

If you would like to learn more about inverted nipple treatment options, you can call the Arizona Center for Breast Surgery at (480) 451-3000 to schedule your consultation. You can also reach us through our online form.